9. Check if this filing amends a previously filed version of this report

10. Check if this is a Termination Report

Termination Date

11. No Lobbying Issue Activity

INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13

12. Lobbying

13. Organizations

INCOME relating to lobbying activities
for this reporting period was:

EXPENSE relating to lobbying activities
for this reporting period were:

Less than $5,000

Less than $5,000

$5,000 or more

$

100,000.00

$5,000 or more

$

Provide a good faith estimate, rounded to the nearest
$10,000,
of all lobbying related income from the client (including all
payments to the registrant by any other entity for lobbying
activities on behalf of the client).

LOBBYING ACTIVITY.
Select as many codes as necessary to reflect the general issue areas in which the registrant
engaged in lobbying on behalf of the client during the reporting period. Using
a separate page for each code, provide information as requested. Add additional page(s)
as needed.

15. General issue area code MMM

16. Specific lobbying issues

H.R. 1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing. H.R. 3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3961 - To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. S. 1776 - A bill to amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes. H.R. 4994 - Medicare and Medicaid Extenders Act of 2010

17. House(s) of Congress and Federal agencies
Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

First Name

Last Name

Suffix

Covered Official Position (if applicable)

New

Michael J

Bates

Michelle

Bright

Erin

Graefe

Bryce L

Harlow

Marty

Paone

19. Interest of each foreign entity in the specific issues listed on line 16 above
Check if None

​

LOBBYING ACTIVITY.
Select as many codes as necessary to reflect the general issue areas in which the registrant
engaged in lobbying on behalf of the client during the reporting period. Using
a separate page for each code, provide information as requested. Add additional page(s)
as needed.

15. General issue area code TAX

16. Specific lobbying issues

H.R. 1087 - To amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes.

17. House(s) of Congress and Federal agencies
Check if None

U.S. HOUSE OF REPRESENTATIVES

18. Name of each individual who acted as a lobbyist in this issue area

First Name

Last Name

Suffix

Covered Official Position (if applicable)

New

Michael J

Bates

Michelle

Bright

Erin

Graefe

Bryce L

Harlow

Marty

Paone

19. Interest of each foreign entity in the specific issues listed on line 16 above
Check if None

​

LOBBYING ACTIVITY.
Select as many codes as necessary to reflect the general issue areas in which the registrant
engaged in lobbying on behalf of the client during the reporting period. Using
a separate page for each code, provide information as requested. Add additional page(s)
as needed.

18. Name of each individual who acted as a lobbyist in this issue area

First Name

Last Name

Suffix

Covered Official Position (if applicable)

New

Michael J

Bates

Michelle

Bright

Erin

Graefe

Bryce L

Harlow

Marty

Paone

19. Interest of each foreign entity in the specific issues listed on line 16 above
Check if None

​

LOBBYING ACTIVITY.
Select as many codes as necessary to reflect the general issue areas in which the registrant
engaged in lobbying on behalf of the client during the reporting period. Using
a separate page for each code, provide information as requested. Add additional page(s)
as needed.

15. General issue area code HCR

16. Specific lobbying issues

Omnibus health Care Reform legislation to be introduced.S. 1213 - A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes.S. 1259 - A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response. H.R. 2520 - To provide comprehensive solutions for the health care system of the United States, and for other purposes. H.R. 3200 - To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.S. 1796 - An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1679 - An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 3962 - To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 3590 - An act entitled The Patient Protection and Affordable Care Act.H.R. 4872 - Health Care and Education Reconciliation Act of 2010.

17. House(s) of Congress and Federal agencies
Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

First Name

Last Name

Suffix

Covered Official Position (if applicable)

New

Michael J

Bates

Michelle

Bright

Erin

Graefe

Bryce L

Harlow

Marty

Paone

19. Interest of each foreign entity in the specific issues listed on line 16 above
Check if None

​

LOBBYING ACTIVITY.
Select as many codes as necessary to reflect the general issue areas in which the registrant
engaged in lobbying on behalf of the client during the reporting period. Using
a separate page for each code, provide information as requested. Add additional page(s)
as needed.